Telr Secure Payments

Purchase details
	Description:	Workshop Foam Roller Challenge
	From:	Real Pilates
	Cost:	Dh370.00

Card details
	Card number:
	Expiry date:
	Security code:	What is this?

Cardholder details
	Title:	E.g. Mr, Mrs etc.
	Forenames:
	Surname:
	Address line 1:
	Address line 2:
	Address line 3:
	City/Suburb:
	Region/State:
	Country:
	Post/Area code:
	Phone number:
	Email address:

Terms and conditions
	Payment terms:	Please read the terms and conditions of payment and then tick the box to confirm you accept these.

The security code is the last three-digit number printed in the signature strip on the reverse of the card.